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  • Title: Surgical management of a diabetic calcaneal ulceration and osteomyelitis with a partial calcanectomy and a sural neurofasciocutaneous flap.
    Author: Ignatiadis IA, Tsiampa VA, Arapoglou DK, Georgakopoulos GD, Gerostathopoulos NE, Polyzois VD.
    Journal: Diabet Foot Ankle; 2010; 1():. PubMed ID: 22396813.
    Abstract:
    The treatment of calcaneal osteomyelitis in diabetic patients poses a great challenge to the treating physician and surgeon. The use of a distally based sural neurofasciocutaneous flap after an aggressive debridement of non-viable and poorly vascularized tissue and bone that is combined with a thorough antibiotic regimen provides a great technique for adequate soft tissue coverage of the heel. In this case report, the authors describe the aforementioned flap as a versatile alternative to the use of local or distant muscle flaps for diabetic patients with calcaneal osteomyelitis and concomitant large wounds.
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